A NOA workgroup has been meeting since 2007 to resolve NOA issues. This ACWDL implements two interim measures recommended by the NOA workgroup. Another ACWDL is predicted to follow in Fall 2008 with the long-term improvement of a simplified NOA format. The two interim measures in this ACWDL are 1) to eliminate multiple or conflicting NOAs and 2) to ensure that individuals have access to bilingual/interpretive services. The letter lays out steps for the counties to take to realize the two interim measures. [Download]

The QI1 program is a Medicare savings program that pays the Medicare Part B premium for people under 135% of the FPL. The programs sunset date has been extended until December 31, 2009. Counties will continue to accept applications until DHCS notifies them that the program has been discontinued. [Download]

This all county letter updates information and instructions from ACWDL 07-12 with new federal DRA policy clarifications and changes. A few of the major changes/ clarifications are:

• Former Medicare and SSI beneficiaries are not exempt from having to provide identification and citizenship verification.
• While there are several different tiers of documents, counties must accept the evidence provided as the best available evidence including affidavits.
• SAVE verification is acceptable evidence of citizenship for naturalized citizens.
• Verification that an adopted child has met the requirements for establishing citizenship under the Child Citizenship Act is acceptable evidence of citizenship.
• Naturalized Citizens may use affidavits of citizenship which do not need to be notarized.

There are many other changes/ clarifications in the letter detailing what documentation can be used to prove citizenship and identification. There are several specific documents now available as proof for children under 16. The letter includes amended notices, forms, and detailed descriptions of acceptable DRA documents. [Download]

This ACWDL updates the format and content of the NOAs and Consent forms for the Healthy Families Program/ Medi-Cal joint application. The NOAs and consent forms are now available in the eleven threshold languages. [Download]

This ACWDL reminds counties that women on PE Medi-Cal do not get full coverage. Workers should give women on PE information on how to apply for Medi-Cal and retroactive Medi-Cal. The retroactive Medi-Cal can cover things PE did not cover, such as labor and delivery. [Download]

This aid code is for children who have not satisfied the Medi-Cal citizenship/ identity requirements within the reasonable period and are being bridged to Healthy Families. These are children who are on limited scope Medi-Cal due to their lack of citizenship/ identity verification and who have newly been assessed a share of costs. This aid code gives them a month of limited scope no share of cost Medi-Cal while Healthy Families evaluates their eligibility. There are citizenship requirements to be in Healthy Families but the proof the two programs require are different, so a child who did not have the documentation to get on full-scope Medi-Cal may still be able to meet the eligibility requirements for Health Families. [Download]